David L Deloso
MD | Pediatrics | Male
David L Deloso, MD is a Mount Vernon, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of David L Deloso is
2920 Veterans Memorial Dr, Mount Vernon, Illinois - 62864-5924. He can be contacted on phone at
618-244-6544 and fax number 618-244-6577.
David L Deloso is a sole proprietor of his business.
NPI number (Unique professional ID) for David L Deloso is
1912002882 which was assigned by NPPES on 14 Sep, 2006 and it was last updated on 07 Jun, 2019.
David L Deloso license number is
036089974 for Pediatrics (208000000X) in Illinois.
David L Deloso is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
David L Deloso basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | David L Deloso |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
David L Deloso address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2920 Veterans Memorial Dr
Mount Vernon, IL, 62864-5924
United States |
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| Phone Number : | 618-244-6544 |
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| Fax Number : | 618-244-6577 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1912002882 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Sep, 2006 |
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| Last Updated On : | 07 Jun, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for David L Deloso are as mentioned. Primary taxonomy code for David L Deloso, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 036089974 | IL |
Legacy Identifiers:
Other legacy medical identifiers of David L Deloso such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036089974 | MEDICAID | IL | |
| 4106916 | Other | | BCBS |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 155
Christopher, IL, 62822-0155
United States |
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| Phone Number : | 618-724-1624 |
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| Fax Number : | 618-724-4628 |
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Business Location:
Patients can refer following map for directions to
David L Deloso practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.